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1659769560
JOHNNY RA
GARDEN GROVE, CA
NPI
1659769560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: CA 771301)
Enumeration Date
2014-12-30
Last Update Date
2014-12-30
Business Address
Mr. JOHNNY RA RN CNOR RNFA
11742 CANDY LN
GARDEN GROVE, CA 92840-2506
Phone number: 714-206-2104
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Mailing Address
Mr. JOHNNY RA RN CNOR RNFA
11742 CANDY LN
GARDEN GROVE, CA 92840-2506
Phone number: 714-206-2104
Copy
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